{"id":12683,"date":"2023-06-29T07:00:24","date_gmt":"2023-06-29T07:00:24","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=12683"},"modified":"2026-04-23T23:49:29","modified_gmt":"2026-04-23T23:49:29","slug":"the-hazy-days-of-summer-staying-healthy-when-the-air-quality-isnt","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/the-hazy-days-of-summer-staying-healthy-when-the-air-quality-isnt\/","title":{"rendered":"Staying healthy when the air quality isn\u2019t","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p>Heat waves and wildfires have become all too common elements of summer in the Pacific Northwest.<\/p>\n<p>The stagnant air that comes along with high temperatures \u2014 and the smoke and other particulates that fires emit \u2014 are the perfect recipe for high levels of air pollution and unhealthy air quality.<\/p>\n<p>Whether it\u2019s a minor irritation or serious health threat, wildfire season affects everyone. Learn how to protect yourself and your loved ones from smoky air.<\/p>\n<h2><strong>Know your local air quality<\/strong><\/h2>\n<p>For most healthy people, smoke season is irritating. However, smoky conditions can be a health threat for some groups:<\/p>\n<ul>\n<li>People with lung conditions, such as chronic obstructive pulmonary disease (COPD), asthma or chronic bronchitis<\/li>\n<li>People with heart disease or diabetes<\/li>\n<li>Older adults<\/li>\n<\/ul>\n<p>While the jury is still out on whether an annual smoke season could be doing long-term damage to healthy people, it\u2019s not good for anyone.<\/p>\n<p>\u201cThe particulates from wildfires are clearly linked to health issues,\u201d says <a href=\"https:\/\/updates-www.mccdn.io\/provider\/ben-arthurs\/\">Ben Arthurs, MD<\/a>, a pulmonologist with <a href=\"https:\/\/updates-www.mccdn.io\/find-a-location\/rockwood-clinic\/\">MultiCare Rockwood Clinic<\/a> in Spokane. \u201cBut the people at highest risk already have sensitivity. They\u2019re the ones who won\u2019t have the reserve to tolerate it.\u201d<\/p>\n<p>Paying attention to air quality requires more than a sniff or quick glance outside.<\/p>\n<p>\u201cSometimes the air quality is worse than it looks,\u201d says <a href=\"https:\/\/updates-www.mccdn.io\/provider\/david-h-ricker\/\">David Ricker, MD<\/a>, a pediatric pulmonologist with <a href=\"https:\/\/www.marybridge.org\/\" target=\"_blank\" rel=\"noopener\">MultiCare Mary Bridge Children\u2019s Hospital<\/a>. \u201cSo it\u2019s important to pay attention to it and have a plan.\u201d<\/p>\n<p>He and other doctors recommend using <a href=\"https:\/\/www.airnow.gov\/\" target=\"_blank\" rel=\"noopener\">AirNow.gov<\/a> or the <a href=\"https:\/\/www.airnow.gov\/airnow-mobile-app\/\" target=\"_blank\" rel=\"noopener\">AIRNow mobile app<\/a> to keep track of local air quality. Listening to weather forecasts can also tip you off.<\/p>\n<p>The air quality index uses six categories that range from good, unhealthy for sensitive groups and hazardous for everyone. Each category comes with advice \u2014 depending on your underlying health \u2014 about when to head indoors and reduce activity.<\/p>\n<h2><strong>Keep up with routine meds and monitor outdoor conditions<\/strong><\/h2>\n<p>If you have asthma, you should have a plan even before air quality dips. That means continuing to use medications and inhalers as prescribed, even if you haven\u2019t had a flare-up in some time.<\/p>\n<p>\u201cVery often, routine medications keep down any airway inflammation,\u201d Dr. Ricker says. \u201cIf you\u2019re not taking that medication routinely, you may have airway inflammation building up and may not realize it unless something like poor air quality comes along.\u201d<\/p>\n<p>And outdoor conditions can change in a hurry.<\/p>\n<p>\u201cPay attention to the forecast,\u201d Dr. Arthurs advises. \u201cYou don\u2019t want to get caught outside in really bad smoke if you can avoid it.\u201d<\/p>\n<h2><strong>Irrigate the nose\u00a0<\/strong><\/h2>\n<p>While breathing in smoke is harmful, we do have some basic defense against it: the shape of our nose.<\/p>\n<p>The nose is a natural filter, designed to keep air particulates from reaching the lungs, where they\u2019re most harmful. But sometimes the nose gets overwhelmed \u2014 from too much pollen or smoke, for example \u2014 and this can result in a runny nose, congestion and sometimes sinusitis.<\/p>\n<p>For these situations, saline irrigation may help. You can buy irrigation devices, such as a sinus rinse kit or neti pot, over the counter.<\/p>\n<p><!-- \u201cThe nose is a natural filter to keep particulates from reaching the lungs where they are most dangerous,\u201d explains Sepehr Oliaei, MD, with MultiCare Ear, Nose &amp; Throat Specialists in Tacoma. \u201cBut that natural filter can sometimes get overwhelmed,\" he continues. \"Whether that\u2019s from pollen or smoke particulates, that inflammatory process results in a runny nose, congestion and sometimes even sinusitis. For those who have summertime allergies like grasses, it\u2019s a double whammy.\u201d For those nasal conditions, Dr. Oliaei recommends saline irrigation. You can purchase irrigation devices \u2014 such as a sinus rinse kit or neti pots \u2014 over the counter. \u201cWhen it\u2019s smoky out, do it on a more regular basis than you would normally,\u201d he advises. --><\/p>\n<h2><strong>Stay indoors, if possible<\/strong><\/h2>\n<p>The most important tip to protect yourself from smoky air is to stay indoors as much as possible.<\/p>\n<p>If your heating or cooling system has a \u201ccirculate\u201d or \u201cfan\u201d option, that can help keep the indoor air a bit cleaner \u2014 but be sure to check and change filters as appropriate.<\/p>\n<p>A portable air purifier with a HEPA filter can also help remove harmful particles from indoor air.<\/p>\n<p>If you have to go outside, a well-fitting N95 or KN95 mask can filter out a meaningful amount of wildfire particulates.<\/p>\n<p>Dr. Arthurs advises parents that when smoke fills the air, it\u2019s best to keep kids indoors, even if they&#8217;re healthy.<\/p>\n<p>\u201cIt\u2019s probably not the right week to have them push through soccer camp,\u201d he says.<\/p>\n<p>If you\u2019re having symptoms like scratchy eyes or throat, congestion, or coughing, head indoors. If symptoms don\u2019t resolve in a reasonable amount of time \u2014 30 minutes to an hour \u2014 contact your doctor or other health care provider.\u00a0If you experience shortness of breath or difficulty breathing, you need urgent medical care.<\/p>\n<p>\u201cYou have to pay attention to your body,\u201d Dr. Arthurs says.<\/p>\n<p>And, as is always true in medicine, prevention is the best cure \u2014 it\u2019s incredibly important <a href=\"https:\/\/www.dnr.wa.gov\/burn-restrictions\">to be aware of fire danger in your area and respect outdoor burning restrictions.<\/a><\/p>\n<p>\u201cThe damage goes well beyond the small brush fire that can occur,\u201d says Dr. Arthurs. \u201cWildfires impact our daily life and the health of people in our community.\u201d<\/p>\n<p><em>Editor\u2019s note: This article was originally published in July 2021 and updated in June 2023.<\/em><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>Heat waves and wildfires have become all too common elements of summer in the Pacific Northwest. The stagnant air that comes along with high temperatures \u2014 and the smoke and other particulates that fires emit \u2014 are the perfect recipe for high levels of air pollution and unhealthy air quality. Whether it\u2019s a minor irritation [&hellip;]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":315,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[55,127],"tags":[170],"class_list":["post-12683","post","type-post","status-publish","format-standard","hentry","category-ent","category-healthy-living","tag-summer-safety"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Staying healthy when the air quality isn\u2019t - MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"Protect your health during wildfire season. 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